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diagnosis ekg differential electrocardiogram equivalents clinical elevation evaluation inferoposterior management misread perioperative preop preoperative prinzmetal risk segment st stelevation stratification
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... - Ischemia MI ... wave inversion in avL ... electrocardiogram #cardiology ... #Interpretation
Vasospastic (Prinzmetal) Angina Definition / Epidemiology: • Rest angina attributed to coronary artery vasospasm. • Patients often
attributed to coronary artery ... younger than other ACS ... Pathophysiology: ... changes on tele/ECG ... #cardiology #diagnosis
ECG of a 55-year-old man who presented to the ER with chest pain Computer interpretation: “Nonspecific
ECG of a 55-year-old ... pain Computer interpretation ... InferoPosterior transmural ischemia ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... segment at (or 40-60 ms ... after) the J point ... deviation) • Acute ischemia ... #differential #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... Prinzmetal's Angina ... • Epicardial artery ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... history of: a) Ischemic ... Obtain EKG if: ... one post op Cardiology ... Unstable Angina
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